Job Summary
This role involves providing exceptional customer service in the Workers Compensation - Claims domain. The candidate will handle claims processing resolve customer inquiries and ensure compliance with regulations. The position requires Spanish language proficiency and offers a work-from-home model with rotational shifts.
Responsibilities
- Handle Workers Compensation claims with precision and ensure timely processing to meet company standards and customer expectations.
- Provide outstanding customer service by addressing inquiries resolving issues and maintaining a professional demeanor.
- Collaborate with internal teams to ensure accurate documentation and compliance with regulatory requirements.
- Utilize domain expertise in Workers Compensation to assess claims and recommend appropriate resolutions.
- Communicate effectively with customers in Spanish ensuring clarity and understanding in all interactions.
- Maintain detailed records of claims and customer interactions to support audits and reporting requirements.
- Identify opportunities for process improvements and contribute to enhancing operational efficiency.
- Ensure adherence to company policies and procedures while managing claims and customer interactions.
- Stay updated on industry trends and regulatory changes to provide informed guidance and support.
- Assist in training and mentoring new team members to ensure consistent service delivery.
- Monitor and report on key performance indicators to track progress and identify areas for improvement.
- Provide feedback to management on customer needs and operational challenges to support strategic decision-making.
- Demonstrate flexibility and adaptability in managing rotational shifts and meeting deadlines.
Qualifications
- Possess strong expertise in Workers Compensation
- Claims with a proven ability to handle complex cases effectively.
- Exhibit excellent customer service skills with a focus on resolving issues and building positive relationships.
- Demonstrate proficiency in Spanish including reading writing and speaking to support diverse customer needs.
- Have a minimum of 2 years and a maximum of 3 years of relevant experience in claims processing and customer service.
- Show familiarity with compliance requirements and industry regulations in the Workers Compensation domain.
- Display strong organizational skills and attention to detail to ensure accurate documentation and reporting.
- Possess effective communication skills to collaborate with internal teams and external stakeholders.
- Exhibit problem-solving abilities to address customer concerns and recommend solutions.
- Demonstrate adaptability to rotational shifts and a work-from-home environment.
- Show commitment to continuous learning and staying updated on industry best practices.
- Have the ability to work independently while contributing to team goals and objectives.
- Display proficiency in using relevant software and tools for claims processing and customer management.
Certifications Required
Certified Customer Service Professional (CCSP) Workers Compensation Claims Certification
私たちについて：
コグニザント（NASDAQ: CTSH）は、AI builderおよびテクノロジーサービスプロバイダとして、AI投資を企業価値へとつなげるフルスタックのAIソリューションを提供しています。業界、業務プロセス、エンジニアリングに関する深い専門性を強みに、各企業固有のコンテキストをテクノロジーシステムに組み込み、人の力を最大限に引き出すとともに、具体的な成果の創出と、急速に変化する世界におけるグローバル企業の競争力維持を支援します。詳しくは、当社ウェブサイト www.cognizant.com をご覧ください。
雇用に関する追加情報
本募集に記載されている報酬情報は、掲載日時点で正確なものです。Cognizantは、適用される法令に従い、いつでも本情報を変更する権利を留保します。
応募者は、対面またはビデオ会議による面接への参加を求められる場合があります。また、各面接の際に、現在有効な州政府または政府発行の身分証明書の提示を求められる場合があります。
Cognizantは機会均等雇用主です。応募および選考において、人種、肌の色、性別、宗教、信条、性的指向、性自認、国籍、障がい、遺伝情報、妊娠、退役軍人の地位、その他連邦法・州法・地方自治体の法律により保護されるいかなる特性に基づく差別も行いません。